A 40-year-old woman presents with a 6-month history of increasing fatigue. For the past three months shehad suffered recurrent upper respiratory infections, poorappetite, abdominal cramps and diarrhea. During this time, she lost 25 lb. She had also noted joint pains, muscle weakness, a dizzy spells following exercise, and she hadnot menstruated for the past 3 months.Physical ExamShe was 5'4" tall and weighed 102 lb. Her heart rate was 86 and the blood pressure was 120/65 when she was supine. After one minute of quiet standing, the heart ratewas 120, the blood pressure was 90/58, and she became dizzy. Her neck was swollen and her bowel sounds were hyperactive. Questions 1.What can you say about the patient's problems so far?